Evidence map›Paper›PMID 41168797›Full record

ArticleBMC nursing2025

Psychological distress and cultural role conflict among dementia family caregivers in China: a phenomenological study.

Gui Yu, Tingting Yuan, Siyuan Bu, Yanli Zeng

Abstract read
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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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17citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Gui Yu *College of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Wenjiang District, Chengdu, Sichuan Province, 611137, China.
Tingting Yuan *College of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Wenjiang District, Chengdu, Sichuan Province, 611137, China.
Siyuan BuDepartment of Urology, School of Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan Province, 610072, China. bsy612@163.com.
Yanli ZengCollege of Nursing, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Wenjiang District, Chengdu, Sichuan Province, 611137, China. zengyanli@cdutcm.edu.cn.ORCID http://orcid.org/0000-0002-6015-6926

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDementia caregiving imposes substantial psychological and emotional burdens on family members. While East Asian studies have examined filial piety and caregiver stress, few have explored how cultural values shape psychological distress and role conflict in depth. This study addresses this gap by examining caregivers’ lived experiences in the Chinese Confucian context.

aimTo explore the psychological distress and culturally shaped role conflicts experienced by dementia family caregivers in China.

methodsA descriptive phenomenological design was used. Fourteen caregivers were recruited in Chengdu, China, in late 2023 through purposive maximum variation sampling. Data were collected via in-depth individual interviews and analyzed using Colaizzi’s seven-step method.

resultsFour themes emerged: layered caregiving burden, cultural strain and emotional dissonance, dual emotional experiences of caregiving, and coping strategies and unmet needs. Caregivers reported chronic fatigue, disrupted family roles, and social isolation. Filial piety emerged as a double-edged influence, fostering commitment and resilience while amplifying guilt and discouraging help-seeking.

conclusionsDementia caregiving in Confucian societies entails complex emotional labor shaped by cultural values. Filial piety acts as both a protective and detrimental force, underscoring the need for culturally congruent interventions such as structured dementia education, respite services, and peer or counseling support to safeguard caregivers’ well-being and ensure sustainable care.

Indexed as

Coping strategiesCultural normsDementia caregivingFilial pietyPhenomenologyPsychological distressRole conflict

Identifiers

PMID41168797
PMCPMC12577227

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.